Miyamoto, Ryan Glenn

Miyamoto, Ryan Glenn is an individual health care provider with primary practice located at 3620 Joseph Siewick Dr Ste 201 , Fairfax VA 22033-1758. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Miyamoto, Ryan Glenn can be contacted via phone (703) 391-0111.

Contact Information

Primary practice address
3620 Joseph Siewick Dr Ste 201 Fairfax VA 22033-1758
Phone: (703) 391-0111
Fax: (703) 391-2945
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 0101245582 Virginia

Profile Details

NPI number 1497923288
LBN Legal business name Miyamoto, Ryan Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2008
Last updated Jan 12th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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